Mcclure, Robert Bruce

Mcclure, Robert Bruce is an individual health care provider with primary practice located at 900 I St Fl 2 , La Porte IN 46350-5533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mcclure, Robert Bruce can be contacted via phone (219) 324-1960.

Contact Information

Primary practice address
900 I St Fl 2 La Porte IN 46350-5533
Fax: (219) 324-1892
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02000983 Indiana

Profile Details

NPI number 1750319505
LBN Legal business name Mcclure, Robert Bruce
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Sep 8th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750319505 NPPES
Indiana MEDICAID 100366170

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